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The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating is scored from 1 to 5 stars and combines results from health inspections, staffing levels, and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
The Overall CMS Rating combines results from health inspections, staffing levels and quality measures. Health inspections carry the most weight. Staffing and quality scores can increase or decrease the final rating based on performance compared to state and national standards.
Based on the results of the facility's three most recent standard inspections and any complaint investigations. CMS reviews the number, scope, and severity of deficiencies, with more recent findings weighted more heavily.
Measures average nursing staff hours per resident per day, including Registered Nurses (RNs) and total nursing staff. Ratings are adjusted based on the level of care residents require and are compared to state and national benchmarks.
Based on clinical and physical health indicators reported to CMS, such as hospital readmissions, falls, pressure ulcers, and improvements in mobility. These measures reflect how well residents' health needs are being managed.
Daily nursing hours per resident by staff type, reported to CMS. Higher is generally better — compare this facility to state and national averages to see where staffing stands.
This home is ranked 93rd out of 130 homes in Alabama. Total adjusted nursing hours per resident per day, combining RN, LPN, and aide time. CMS adjusts this for case-mix so facilities can be fairly compared.
| Staff type | Hours / Day / Resident | vs state avg |
|---|---|---|
|
Registered Nurse (RN)
RNs hold the highest nursing license and can assess residents, interpret test results, and direct care plans. More RN hours per day often signals stronger clinical oversight and faster response to health changes.
| 27m per day | ▼ 29% State avg: 38m per day · National avg: 41m per day |
|
LPN / LVN
Licensed Practical Nurses (LPNs) or Licensed Vocational Nurses (LVNs) deliver routine hands-on care — medication administration, wound dressing, and monitoring vital signs. They work under RN supervision and make up a large share of daily bedside care.
| 39m per day | ▼ 17% State avg: 47m per day · National avg: 52m per day |
|
Nurse Aide
Certified Nurse Aides (CNAs) provide the most direct day-to-day assistance: bathing, dressing, feeding, and mobility. Nurse aide hours are typically the largest staffing category and directly affect residents' quality of life.
| 2h 18m per day | ▼ 8% State avg: 2h 30m per day · National avg: 2h 20m per day |
|
Weekend Total Nursing
Combined nursing hours (RN + LPN + Nurse Aide) per resident per day on weekends. Staffing often drops on weekends — this figure reveals whether the facility maintains adequate coverage outside of weekday hours.
| 3h 10m per day | ▼ 3% State avg: 3h 17m per day · National avg: 3h 26m per day |
|
Weekend RN
Registered nurse hours specifically on weekends. Facilities sometimes reduce RN presence on Saturdays and Sundays — a low weekend RN figure compared to weekday hours can indicate reduced clinical oversight when most administrative staff are absent.
| 16m per day | ▼ 27% State avg: 22m per day · National avg: 28m per day |
Higher than the Alabama average: 80.8%Lafayette Extended Care is administrated by Yvonne Butler.
In Alabama, the Department of Public Health, Bureau of Health Provider Standards conducts unannounced surveys to ensure facilities meet state licensing and federal certification safety standards.
This scorecard compares key inspection, citation, and complaint metrics at this facility against the Alabama state average. Metrics rated ≥15% worse than average are highlighted in red; those ≥15% better are highlighted in green.
Deficiencies
| This Facility | AL Average | vs. AL Avg |
|---|---|---|---|
|
Total deficiencies
Formal regulatory issues recorded by inspectors across all inspection types.
| 13 | 17 | This facility has 24% fewer total deficiencies than a typical Alabama nursing home (13 vs. AL avg 17).↓ 24% better |
|
Deficiencies per year
Average deficiencies per year since 2018.
| 1.6 | 2.1 | This facility has 24% fewer deficiencies per year than a typical Alabama nursing home (1.6 vs. AL avg 2.1).↓ 24% better |
An editor-reviewed summary of the themes and findings across this facility's recent inspection reports.
This facility’s inspection record is mixed, with repeated deficiencies in resident care documentation, medication management, and infection control. The most recent inspection on January 22, 2020, cited three deficiencies for failing to investigate and timely report a suspicious injury and improper use of psychotropic medication. Earlier inspections flagged seven deficiencies in 2018 for incomplete care plans, expired medications, and infection control lapses, plus three in 2019 related to resident privacy, dietary errors, and food labeling.
Read the full inspection reports for this facility, including detailed findings and corrective actions.
Show Inspection ReportsAlabama average 2.9
Last Health inspection on Jan 2020
Alabama average 10.4
Alabama average 3.46
Health citations are formal notices following inspections when they fail to comply with safety and care standards.
All 13 citations resulted from standard inspections.
100% better than Alabama averageAlabama average: 0.7
100% better than Alabama averageAlabama average: 0.2
Corrected
Corrected
Corrected
Corrected
Reporting period: October 1 – December 31, 2025 (Q4 2025). Source: CMS Payroll-Based Journal report.
41% worse than Alabama average
13% better than Alabama average
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Manages medical care and health needs.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
11.8 hoursNo contractors work on this role.
Assists with medical care and medications.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
9.8 hoursNo contractors work on this role.
Helps with daily care and mobility.
Average shift length. Calculated as total hours divided by days worked and average staff per day.
8.9 hoursNo contractors work on this role.
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
Total hours from contractors
205 contractor hours this quarter
This data comes from the CMS Payroll-Based Journal report covering October 1 – December 31, 2025.
| Certified Nursing Assistant | 29 | 0 | 29 | 12,913 | 92 | 100% | 8.9 |
| Licensed Practical Nurse | 8 | 0 | 8 | 4,003 | 92 | 100% | 9.8 |
| Clinical Nurse Specialist | 2 | 0 | 2 | 928 | 68 | 74% | 7.8 |
| Other Dietary Services Staff | 2 | 0 | 2 | 821 | 71 | 77% | 7.8 |
| Registered Nurse | 3 | 0 | 3 | 760 | 63 | 68% | 11.8 |
| Nurse Aide in Training | 2 | 0 | 2 | 731 | 58 | 63% | 8.5 |
| Medication Aide/Technician | 1 | 0 | 1 | 617 | 66 | 72% | 9.4 |
| Administrator | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Nurse Practitioner | 1 | 0 | 1 | 520 | 65 | 71% | 8 |
| Speech Language Pathologist | 0 | 1 | 1 | 45 | 25 | 27% | 1.8 |
| Occupational Therapy Aide | 0 | 1 | 1 | 44 | 14 | 15% | 3.1 |
| Physical Therapy Assistant | 0 | 1 | 1 | 44 | 21 | 23% | 2.1 |
| Medical Director | 0 | 1 | 1 | 24 | 4 | 4% | 6 |
| Occupational Therapy Assistant | 0 | 1 | 1 | 18 | 3 | 3% | 6 |
| Qualified Social Worker | 0 | 1 | 1 | 18 | 9 | 10% | 1.9 |
| Mental Health Service Worker | 0 | 1 | 1 | 8 | 1 | 1% | 7.5 |
| Respiratory Therapy Technician | 0 | 1 | 1 | 5 | 5 | 5% | 1.1 |
Includes penalties issued in 2024
Federal penalties imposed by CMS for regulatory violations, including civil money penalties (fines) and denials of payment for new Medicare/Medicaid admissions.
Source: CMS Penalties Database (Data as of Jan 2026)
93% lower than Alabama averageAlabama average: $65K
58% fewer fines than Alabama averageAlabama average: 2.4
Serious action where Medicare and/or Medicaid temporarily stops payments for new residents until issues are fixed.
0
100% fewer payment denials than Alabama averageAlabama average: 0.3
Penalties are imposed by CMS for violations of federal nursing home regulations.
1 penalty in the past 3 years
Jan 30, 2024 · $5K
Fines imposed for noncompliance, which can be assessed per day or per instance of violation.
Jan 30, 2024Last updated: Jan 2026
These measures show how residents usually do over time at this home, based on health outcomes and preventive care.
A composite score based on pressure ulcers, falls with injury, weight loss, walking ability decline, and activities of daily living decline.
9.1
In line with Alabama averageAlabama average: 8.9
A composite score based on activities of daily living decline, walking ability decline, and incontinence.
10.0
31% better than Alabama averageAlabama average: 14.5
CMS star rating based on long-stay quality measure performance. 5 stars = significantly above average, 1 star = significantly below average.
Percent of long-stay residents whose need for help with daily activities has increased
9.5%
31% better than Alabama averageAlabama average: 13.9%
Percent of long-stay residents whose ability to move independently worsened
12.8%
20% better than Alabama averageAlabama average: 16.1%
Percent of low risk long-stay residents who lose control of their bowels or bladder
7.6%
44% better than Alabama averageAlabama average: 13.6%
Percent of long-stay residents experiencing one or more falls with major injury
3.0%
10% better than Alabama averageAlabama average: 3.4%
Percent of long-stay high risk residents with pressure ulcers
8.6%
44% worse than Alabama averageAlabama average: 5.9%
Percent of long-stay residents with a urinary tract infection
2.7%
In line with Alabama averageAlabama average: 2.7%
Percent of long-stay residents who lose too much weight
11.6%
115% worse than Alabama averageAlabama average: 5.4%
Percent of long-stay residents who have depressive symptoms
0.0%
100% better than Alabama averageAlabama average: 1.2%
Percent of long-stay residents who received an antipsychotic medication
11.2%
46% better than Alabama averageAlabama average: 20.7%
Percent of long-stay residents assessed and appropriately given the pneumococcal vaccine
69.7%
24% worse than Alabama averageAlabama average: 91.5%
Percent of long-stay residents assessed and appropriately given the seasonal influenza vaccine
94.9%
In line with Alabama averageAlabama average: 94.8%
Number of hospitalizations per 1,000 long-stay resident days.
1.91
5% better than Alabama averageAlabama average: 2.00
Number of outpatient emergency department visits per 1,000 long-stay resident days.
1.15
36% better than Alabama averageAlabama average: 1.79
Percent of short-stay residents assessed and appropriately given the pneumococcal vaccine
20.0%
76% worse than Alabama averageAlabama average: 83.7%
Quality measures are calculated from Minimum Data Set (MDS) assessments. For most measures, lower percentages indicate better care quality.
31% of new residents, usually for short-term rehab.
33% of new residents, often for short stays.
36% of new residents, often for long-term daily care.
Source: CMS Long-Term Care Facility Characteristics (Data as of Jan 2026)
Total residents
62Residents meet regularly to discuss policies, care quality, and activities
Family members meet regularly to discuss policies, care quality, and activities
Organized group of family members that meets regularly to discuss facility policies, resident care, and activities.
Organized group of residents that meets regularly to discuss facility policies, quality of life, and activities.
Data sourced from CMS Long-Term Care Facility Characteristics quarterly report. Payer mix reflects the current resident census by primary payment source.
Historical financial and operational data for Lafayette Extended Care based on CMS SNF Cost Reports.
The portion of the home's budget spent on staff, including nurses, caregivers, and other employees who support care and operations.
Rank #103 / 129Payroll — State benchmarkedThis home is ranked 103rd out of 129 homes in Alabama. Shows total annual staff payroll benchmarked to the Alabama average. Higher payroll investment relative to peers often signals better staffing and less reliance on cheaper contract labor.Click the rank badge to see the full State ranking.Click here to see the full State ranking.
All remaining costs needed to run the home, such as food, utilities, building maintenance, supplies and administrative expenses.
Most residents stay for extended periods and receive ongoing daily care.
0.0 miles from city center
Estimated distance in miles from Lafayette's city center to Lafayette Extended Care's address, calculated via Google Maps.
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Lafayette Extended Care is located in Lafayette, Alabama.
Here are the financial assistance programs available to residents in Alabama.
| Redstone Village |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Huntsville (Redstone Village) | 56 | 94.3% | +17% | 5.19 | -34% | +19% | $0 | 3 | 1.5 | - | 53 | 17 | Redstone Military Retirement Residence Association Inc | $23.8M | $10.6M | 44.4% | 15454 | ||||
| Aspire Physical Recovery Center Of West Alabama |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Northport (Dutton Place) | 75 | 93.8% | +16% | 4.31 | +4% | -1% | $0 | 6 | 3.0 | - | 72 | 51 | West Alabama Health Properties LLC | $10.9M | $4.5M | 41.3% | 15465 | ||||
| Lafayette Extended Care |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence. | Lafayette | 69 | 85.4% | +6% | 3.98 | -48% | -9% | $4.6k | 13 | 4.3 | - | 62 | 47 | Yvonne Butler | $4.9M | $3.9M | 78.1% | 15197 | ||||
| John Knox Manor – Retirement Community |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
HC Home Care Professional care delivered in the person's own home — from companionship and errands to skilled nursing and therapy. Allows seniors to age in place. Medicare covers skilled home health when medically necessary.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support. | Montgomery (Seth Johnson Estates) | 98 | 58.2% | -28% | 5.02 | -29% | +15% | $0 | 4 | 2.0 | - | 61 | 34 | Terri Howell | $7.8M | $3.6M | 46.8% | 15135 | ||||
| Regency Retirement Village of Huntsville |
NH Nursing Home Licensed facility providing 24/7 skilled nursing care for residents with complex, ongoing medical needs. Staffed by RNs, LPNs, and CNAs. Inspected and star-rated annually by CMS. Accepts Medicare (short-term rehab) and Medicaid (long-term care).
AL Assisted Living A licensed, long-term care setting for seniors or individuals with disabilities who need help with daily activities — like bathing, dressing, and medication management — but not 24-hour skilled nursing. Offers housing, meals, and around-the-clock support while aiming to maximize resident independence.
IL Independent Living Lifestyle-focused communities for older adults offering dining, activities, and transportation with minimal personal care. Best for active, independent seniors who want community without medical support.
MC Memory Care Secured, specialized care for people living with Alzheimer's or dementia. Staff trained in cognitive impairment, with higher staff-to-resident ratios and an environment designed to reduce confusion and wandering risk. | Huntsville (Greenhill) | 104 | 93.8% | +16% | 4.48 | -13% | +2% | $16.8k | 20 | 5.0 | 3 | 83 | 44 | Huntsville Senior Services LLC | $21.1M | $10.3M | 49% | 15372 |
Lafayette Extended Care has a walk score of 47. Somewhat walkable. A few nearby services may be reachable on foot, but most trips require transportation.
Lafayette Extended Care's occupancy is 94%.
Yvonne Butler is the administrator of Lafayette Extended Care.
Lafayette Extended Care has 69 beds.
Yes — there are 3 photos of Lafayette Extended Care in the photo gallery on this page.
Lafayette Extended Care is located at 805 Hospital Street, PO Box 152.
(256) 825-9273 will put you in contact with the team at Lafayette Extended Care.
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